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Suggest Treatment For Blood And Blood Clots In Urine
Posted on
Wed, 6 Aug 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 6 Aug 2014
Answered on
Tue, 2 Sep 2014
Last reviewed on
Question : Periodically experience blood and bloodclots in urine. Have received external beam radiation in 1990 for prostate cancer: suffer from radiation cystitis; have had bladder cauterization; kidney stones; am on coumadine; Am at a loss at cause of bleeding; comes and goes; bursting blood vessels?
Brief Answer:
check INR, requires further investigation..
Detailed Answer:
Hello and welcome.
I have read your history carefully.
Acute symptoms of radiation injury to the bladder are self-limiting and generally respond to symptomatic therapy, such as anticholinergic medications and analgesics. Severe complications of radiation injuries are difficult to manage because they tend to be chronic or recurrent and are occasionally refractory to therapy.
Blood in urine (hematuria) needs proper work up before any treatment is initiated.
Unless there is a history of trauma vascular injury is unlikely as you had concern for rupture or bursting of a vessel.
Firstly, I would advise you to stop the Coumadin and get your INR checked via your primary healthcare provider to see if its supra therapeutic or not.
Secondly , You need to get the following tests done in consult with your doctor to have a better idea of the precipitating cause for your symptoms
CBC
URINE R/E
URINE CULTURE AND SENSITIVITY
BUN, CREATININE (RENAL FUNCTION TESTS)
BLADDER AND RENAL ULTRASOUND
let me know if you have any query
thanks.
check INR, requires further investigation..
Detailed Answer:
Hello and welcome.
I have read your history carefully.
Acute symptoms of radiation injury to the bladder are self-limiting and generally respond to symptomatic therapy, such as anticholinergic medications and analgesics. Severe complications of radiation injuries are difficult to manage because they tend to be chronic or recurrent and are occasionally refractory to therapy.
Blood in urine (hematuria) needs proper work up before any treatment is initiated.
Unless there is a history of trauma vascular injury is unlikely as you had concern for rupture or bursting of a vessel.
Firstly, I would advise you to stop the Coumadin and get your INR checked via your primary healthcare provider to see if its supra therapeutic or not.
Secondly , You need to get the following tests done in consult with your doctor to have a better idea of the precipitating cause for your symptoms
CBC
URINE R/E
URINE CULTURE AND SENSITIVITY
BUN, CREATININE (RENAL FUNCTION TESTS)
BLADDER AND RENAL ULTRASOUND
let me know if you have any query
thanks.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
INR OK…Is Checked regularly….. Also, whenever I have bleeding I discontinue Coumadin a few days...
Brief Answer:
the other investigations still need to be done..
Detailed Answer:
hello again,
Even if INR is in range , i.e between 2 and 3 , still the investigations that I mentioned previously should be done in consult with your doctor as there are multiple causes of blood in urine.
Treatment can only be initiated when the cause is isolated.
Let me know if you have any query
I will be more than glad to answer.
thanks
the other investigations still need to be done..
Detailed Answer:
hello again,
Even if INR is in range , i.e between 2 and 3 , still the investigations that I mentioned previously should be done in consult with your doctor as there are multiple causes of blood in urine.
Treatment can only be initiated when the cause is isolated.
Let me know if you have any query
I will be more than glad to answer.
thanks
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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